Remote Utilization Management Nurse | Flexible Shifts
Case Management Society of America (CMSA) ®
- Remote job
The Case Management Society of America (CMSA) ® seeks a Utilization Management Review Nurse (UMRN) to evaluate the appropriateness of medical services. Key responsibilities include assessing care based on medical necessity, working with payers on denials, and promoting quality outcomes. Candidates must have a Bachelor in Nursing, 5 years of healthcare experience, and a Texas RN license. The position requires strong communication skills and may involve telecommuting with flexible shifts as needed. #J-18808-Ljbffr Case Management Society of America (CMSA) ®
- ...Alliance for Career Enhancement is seeking a Nurse Consultant to join their Utilization Management team. In this 100% remote role, you will apply your clinical judgement... ...utilization management processes. The position offers flexible hours within business hours and a competitive...Remote jobFlexible hours
$50.68 per hour
...Job Overview The Utilization Review RN participates... ...Department Name: Utilization Management Job Status: flex,... ...for benefits Shift: variable - must have... ...position will be primarily remote but there may be... ...Bachelor of Science in Nursing (BSN) * EXPERIENCE -...Remote workFlexible hoursHourly payTemporary workLive inImmediate startRelocationShift workWeekend workDay shiftAfternoon shift$71.1k - $97.8k
...part of our caring community The Utilization Management Nurse 2 utilizes clinical nursing skills to... ...guidelines/procedures. This role is a remote position, M-F 8am to 5pm EST with... ...families. We design competitive and flexible packages to give our employees a sense...Remote workFlexible hoursBi-weekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeWeekend work$26.01 - $68.55 per hour
...family and one community at a time. Utilization Management is a 24/7 operation and work... ...holidays, and evening hours. UM Nurse Consultant Fully Remote- WFH Standard Schedule 4x10's - Thursday... ...including paid time off, flexible work schedules, family leave, dependent...Remote workFlexible hoursHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shift- ...A healthcare staffing agency is seeking a Utilization Management RN to work remotely from PA, DE, or NJ. The role involves assessing clinical... ...with InterQual criteria. This position offers a day shift workload with flexible weekends and requires an active PA RN license. #J...Remote workFlexible hoursWeekend workDay shift
- A regional healthcare provider in Houston is seeking a Utilization Management Review Nurse. This role involves evaluating the appropriateness of medical... ...management and insurance payers. This position offers flexible scheduling and opportunities for telecommuting. #J-18808...Remote jobFlexible hours
- ...About The Role BHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs medical necessity... ...coverage while working remotely. Primary Responsibilities... ...pace and changing environment- flexibility in assignment. • Proficient...Remote workFlexible hoursContract workWork at office
$116.3k - $264.6k
...Los Angeles, CA, USA Onsite or Remote Flexible Hybrid Work Schedule... ...and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management, you'll provide direct... ...a team of UM coordinators and nurses. You'll work closely with Medicare...Remote workFlexible hoursMonday to Friday- A healthcare company is seeking a Utilization Management Registered Nurse to utilize nursing skills for coordinating medical services. Responsibilities... ...service eligibility and facilitating care. This remote role requires an RN license and clinical experience. Benefits...Remote jobWork from home
- Harris Health System, Inc. is seeking a Utilization Management Review Nurse (UMRN) in Bellaire, TX. This position involves evaluating medical service... ...significant experience in healthcare settings. Flexible work schedule is available. #J-18808-Ljbffr Harris Health...Remote jobFlexible hours
- ...Utilization Management Review Nurse Harris Health System is the public healthcare safety-net provider established in 1966 to serve the residents... ...healthcare (Interqual) Work Schedule Flexible: 8 hour shifts as per system need; variable to 10-12 as needed....Remote workFlexible hoursWork experience placementWork at officeWeekend work
- ...Guidehealth leverages remotely‑embedded Healthguides™ and a centralized Managed Service Organization to... ...precise and timely Utilization Review. In this role,... ...aligned with Illinois nursing regulations and contemporary... ..., providing you the flexibility to spend less time...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home
$71.1k - $97.8k
...a part of our caring community The Utilization Management Nurse 2 utilizes clinical nursing skills to... ...Additional Information ~ Must work an 8 hour shift between 8:30AM-5:30PM local time... .... Travel: While this is a remote position, occasional travel to Humana'...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork at officeLocal areaWork from homeHome officeMonday to FridayShift work$45.75 - $62.9 per hour
...This is a fulltime prior authorization nurse role; experience with health plan... ...a hybrid position with potential for remote work. JOB SUMMARY: Under the supervision... ...of the Supervisor, UM Clinical, the Utilization/Case Manager Nurse coordinates the delivery of care...Remote workFull time$40 per hour
...Job Title: Utilization Management Nurse - Behavioral Health Focus (Remote) Time Zone Preference: Pacific or Mountain Time Zone is preferred Work Schedule: Tuesday through Saturday, 8:00 AM - 5:00 PM PST Compensation: $40 per hour...Remote workHourly payPermanent employmentTemporary workWork at office$74.16 - $107.75 per hour
...Utilization Review Nurse Work Location: Los Angeles, CA, USA Onsite or Remote Fully On-Site Work Schedule Monday-Friday 8am-4:30pm Salary Range: $74.16 - $107.7... ...Utilization Review Nurse is part of the Utilization Management Department at the Resnick Neuropsychiatric...Remote workHourly payWork at officeMonday to Friday$1,600 - $1,800 per week
...Now Hiring: Registered Nurse – Utilization Management Location: Buckley AFB & Peterson AFB, Colorado Military Health System Compensation: $1,60... ...Friday, 0730–1630 No weekends, no holidays, no telehealth/remote work Minimum Qualifications U.S. Citizenship (required...Remote workContract workImmediate startMonday to Friday- ...extension) *Note: Candidates can be remote but must have an active... ...RN, is a licensed Registered Nurse that is expected to function... ...role and is responsible for managing a clinically complex caseload... ...Precertification / Outpatient Utilization Management (UM) team and works...Remote workContract workWork at officeWork from home
$35.29 - $47.37 per hour
...Health and life insurance, Flexible Spending- and Health Savings... ...their work-life balance Remote work options and Flexible scheduling... ...improving quality of care, managing costs, and honoring... ...hiring a Part-time REMOTE Utilization Review Nurse . If you are a licensed nurse...Remote workFlexible hoursHourly payPart timeCurrently hiringWork at officeLocal areaWork from homeMonday to Friday$71.1k - $97.8k
A leading healthcare organization seeks a Utilization Management Registered Nurse to utilize clinical skills for coordinating medical services. This remote position involves assessing care needs, communicating effectively with providers, and serving as part of a team ensuring...Remote job$74.16 - $107.75 per hour
...Work Location: Los Angeles, CA, USA Onsite or Remote Fully On-Site Work Schedule Monday... ...or enter keys to toggle section visibility The Utilization Management (UM) Nurse supports appropriate level-of-care determination, patient...Remote workHourly payWork at officeMonday to Friday$71.1k - $97.8k
A healthcare company is seeking a Utilization Management Registered Nurse to support coordination and communication of medical services. The role requires... ..., and facilitating care communication. This is a remote position with a pay range of $71,100 to $97,800 per year...Remote job$58.66k - $142.45k
...Peer-to-Peer Utilization Review Nurse Mass General Brigham relies on a wide... ...the MGB Central Utilization Management team, specializing in identifying... ...(if applicable): ~ Remote / Work from Home. ~32 hours... ...Type: Regular Work Shift: Day (United States of America...Remote workWork from homeShift work- ...Utilization Management Nurse RIHS Austin Regional Office - Austin, TX 78727 Overview Position Type Full Time Description Primary... ...Qualifications Location Requirements This position is remote but requires the employee to live within our service area,...Remote workFull timeWork at officeWeekend work
$34.98 - $42.85 per hour
...Remote in California only Are you ready to make a lasting impact... ...Job Summary The UM Nurse I - RN performs clinical review... ...policies. This role conducts utilization review activities under... ...one (1) year in utilization management or case management preferred....Remote workHourly payWork at office$75.3k - $135.4k
...professional on our Medical Management/Health Services team.... ...on workplace flexibility. Work Schedule & Requirements... ...This is a fully remote position operating on... ...York State Registered Nurse (NYS RN) licensure is... ...-to-day activities of utilization management team. Monitors...Remote jobFlexible hoursFull timePart timeWork at officeMonday to Friday- A healthcare company is seeking a Utilization Management Registered Nurse in Denver, Colorado. This remote position involves using clinical nursing skills to manage post-acute care services, determine appropriate medical services, and communicate with healthcare providers...Remote job
- A health insurance company is seeking a Utilization Management Registered Nurse to leverage clinical skills for coordinating medical services within a remote setting. The role involves interpreting medical documentation and collaborating with healthcare providers. Ideal...Remote job
$71.1k - $97.8k
Humana Inc is looking for a Utilization Management RN to join their team in Raleigh, NC. This role involves collaborating with health care providers... ..., 5+ years of clinical experience, and the ability to work remotely with occasional travel. Humana offers competitive pay, with...Remote job$71.1k - $97.8k
A leading health services company is looking for a Utilization Management Registered Nurse based in Ohio. The role involves using clinical skills to support... ...year of clinical experience. This position allows for remote work with occasional travel to company offices....Remote job
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